Open Access
28 August 2013 Trimodal detection of early childhood caries using laser light scanning and fluorescence spectroscopy: clinical prototype
Liang Zhang, Amy S. Kim, Jeremy S. Ridge, Leonard Y. Nelson, Joel H. Berg D.D.S., Eric J. Seibel
Author Affiliations +
Abstract
There is currently a need for a safe and effective way to detect and diagnose early stages of childhood caries. A multimodal optical clinical prototype for diagnosing caries demineralization in vivo has been developed. The device can be used to quickly image and screen for any signs of demineralized enamel by obtaining high-resolution and high-contrast surface images using a 405-nm laser as the illumination source, as well as obtaining autofluorescence and bacterial fluorescence images. When a suspicious region of demineralization is located, the device also performs dual laser fluorescence spectroscopy using 405- and 532-nm laser excitation. An autofluorescence ratio of the two excitation lasers is computed and used to quantitatively diagnose enamel health. The device was tested on five patients in vivo as well as on 28 extracted teeth with clinically diagnosed carious lesions. The device was able to provide detailed images that highlighted the lesions identified by the clinicians. The autofluorescence spectroscopic ratios obtained from the extracted teeth successfully quantitatively discriminated between sound and demineralized enamel.
© 2013 Society of Photo-Optical Instrumentation Engineers (SPIE) 0091-3286/2013/$25.00 © 2013 SPIE
Liang Zhang, Amy S. Kim, Jeremy S. Ridge, Leonard Y. Nelson, Joel H. Berg D.D.S., and Eric J. Seibel "Trimodal detection of early childhood caries using laser light scanning and fluorescence spectroscopy: clinical prototype," Journal of Biomedical Optics 18(11), 111412 (28 August 2013). https://doi.org/10.1117/1.JBO.18.11.111412
Published: 28 August 2013
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CITATIONS
Cited by 21 scholarly publications and 4 patents.
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KEYWORDS
Atrial fibrillation

Luminescence

Teeth

Dental caries

Prototyping

Reflectivity

Fluorescence spectroscopy

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